ATI RN ADULT MEDICAL SURGICAL B
COMPREHENSIVE EXAM ACTUAL QUESTIONS AND
VERIFIED ANSWERS|ALREADY GRADED A+
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - ✔✔✔ ANSWER-Hair loss on the lower legs
A nurse is planning discharge teaching for a client who has an external fixation device for a
fracture of the lower extremity. Which of the following
instructions should the nurse include in the plan of care? - ✔✔✔ ANSWER-Use crutches
with rubber tips.
A nurse is performing a preoperative assessment for a client. The nurse should identify that
an allergy to which of the following foods can indicate
a latex allergy? - ✔✔✔ ANSWER-Avocados
A nurse is providing teaching to a client who has anemia and a new prescription for an oral
iron supplement. Which of the following statements by
the client indicates an understanding of the teaching? - ✔✔✔ ANSWER-"I will eat more
high-fiber foods."
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer.
Which of the following interventions should the nurse
include in the plan of care? - ✔✔✔ ANSWER-Keep a lead-lined container in the client's
room.
A nurse is providing dietary teaching to a client who is postoperative following a
thyroidectomy with removal of the parathyroid glands. The nurse should instruct the client
to include which of the following foods that has the greatest amount of calcium in their
diet? - ✔✔✔ ANSWER-12 almonds
,A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The
nurse notes a pacemaker artifact followed by a QRS
complex. Which of the following actions should the nurse take? - ✔✔✔ ANSWER-Document
that depolarization has occurred.
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client
reflects an understanding of the teaching? - ✔✔✔ ANSWER-"My joints ache because I have
Lyme disease."
A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial
fibrillation. Which of the following values should the
nurse identify as a desired outcome for this therapy? - ✔✔✔ ANSWER-INR 2.5
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of
the following client statements indicates the client is
successfully coping with the change? - ✔✔✔ ANSWER-"I used to never worry about my
feet. Now, I inspect my feet every day with a mirror."
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube. The nurse should recognize that which of the
following complications is associated with long-term mechanical ventilation? - ✔✔✔
ANSWER-Stress ulcers
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of
the following neurologic deficits should the nurse expect to find when assessing the client?
(Select all that apply.) - ✔✔✔ ANSWER-Visual spatial deficits
Left hemianopsia
One-sided neglect
,A nurse is assessing a client who has acute cholecystitis. Which of the following findings is
the nurse's priority? - ✔✔✔ ANSWER-Tachycardia
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following
should the nurse plan to administer? - ✔✔✔ ANSWER-Regular insulin 20 units IV bolus
A nurse is reviewing the health record of a client who is scheduled for
allergy skin testing. The nurse should postpone the testing and report to
the provider which of the following findings? (Click on the "Exhibit"
button for additional information about the client. There are three tabs
that contain separate categories of data.) - ✔✔✔ ANSWER-Current medications
A nurse in an emergency department is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which
of the following prescriptions should the nurse expect? - ✔✔✔ ANSWER-Administer an
opioid analgesic to the client.
A nurse is providing teaching to a client who has a new prescription for psyllium. Which of
the following information should the nurse include in
the teaching? - ✔✔✔ ANSWER-Drink 240 mL (8 oz) of water after administration.
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus.
For which of the following adverse effects should the
nurse monitor? - ✔✔✔ ANSWER-Respiratory paralysis
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the
following is the priority assessment finding that the nurse
should report to the provider? - ✔✔✔ ANSWER-Blood pressure 170/80 mm Hg
, A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going
into shock. Identify the sequence of actions the nurse
should take. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.) - ✔✔✔ ANSWER-Administer oxygen via a nonrebreather
mask.
Initiate IV therapy with a large-bore catheter.
Insert an NG tube.
Administer famotidine.
A nurse is caring for a client who has a positive culture for methicillin-resistant
Staphylococcus aureus (MRSA). Which of the following actions
should the nurse take? - ✔✔✔ ANSWER-Bathe the client using chlorhexidine solution.
A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon
assessing the client, the nurse observes the following
findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min.
Which of the following actions should the nurse take? - ✔✔✔ ANSWER-Perform
synchronized cardioversion.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect? - ✔✔✔ ANSWER-Low urine specific gravity
A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis.
The nurse should give the AP which of the following
instructions? - ✔✔✔ ANSWER-Wear a mask.
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical
therapy for which of the following clients? - ✔✔✔ ANSWER-A client who is receiving
preoperative teaching for a right knee arthroplasty.
A nurse is caring for a client in the emergency department (ED).
COMPREHENSIVE EXAM ACTUAL QUESTIONS AND
VERIFIED ANSWERS|ALREADY GRADED A+
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - ✔✔✔ ANSWER-Hair loss on the lower legs
A nurse is planning discharge teaching for a client who has an external fixation device for a
fracture of the lower extremity. Which of the following
instructions should the nurse include in the plan of care? - ✔✔✔ ANSWER-Use crutches
with rubber tips.
A nurse is performing a preoperative assessment for a client. The nurse should identify that
an allergy to which of the following foods can indicate
a latex allergy? - ✔✔✔ ANSWER-Avocados
A nurse is providing teaching to a client who has anemia and a new prescription for an oral
iron supplement. Which of the following statements by
the client indicates an understanding of the teaching? - ✔✔✔ ANSWER-"I will eat more
high-fiber foods."
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer.
Which of the following interventions should the nurse
include in the plan of care? - ✔✔✔ ANSWER-Keep a lead-lined container in the client's
room.
A nurse is providing dietary teaching to a client who is postoperative following a
thyroidectomy with removal of the parathyroid glands. The nurse should instruct the client
to include which of the following foods that has the greatest amount of calcium in their
diet? - ✔✔✔ ANSWER-12 almonds
,A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The
nurse notes a pacemaker artifact followed by a QRS
complex. Which of the following actions should the nurse take? - ✔✔✔ ANSWER-Document
that depolarization has occurred.
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client
reflects an understanding of the teaching? - ✔✔✔ ANSWER-"My joints ache because I have
Lyme disease."
A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial
fibrillation. Which of the following values should the
nurse identify as a desired outcome for this therapy? - ✔✔✔ ANSWER-INR 2.5
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of
the following client statements indicates the client is
successfully coping with the change? - ✔✔✔ ANSWER-"I used to never worry about my
feet. Now, I inspect my feet every day with a mirror."
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube. The nurse should recognize that which of the
following complications is associated with long-term mechanical ventilation? - ✔✔✔
ANSWER-Stress ulcers
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of
the following neurologic deficits should the nurse expect to find when assessing the client?
(Select all that apply.) - ✔✔✔ ANSWER-Visual spatial deficits
Left hemianopsia
One-sided neglect
,A nurse is assessing a client who has acute cholecystitis. Which of the following findings is
the nurse's priority? - ✔✔✔ ANSWER-Tachycardia
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following
should the nurse plan to administer? - ✔✔✔ ANSWER-Regular insulin 20 units IV bolus
A nurse is reviewing the health record of a client who is scheduled for
allergy skin testing. The nurse should postpone the testing and report to
the provider which of the following findings? (Click on the "Exhibit"
button for additional information about the client. There are three tabs
that contain separate categories of data.) - ✔✔✔ ANSWER-Current medications
A nurse in an emergency department is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which
of the following prescriptions should the nurse expect? - ✔✔✔ ANSWER-Administer an
opioid analgesic to the client.
A nurse is providing teaching to a client who has a new prescription for psyllium. Which of
the following information should the nurse include in
the teaching? - ✔✔✔ ANSWER-Drink 240 mL (8 oz) of water after administration.
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus.
For which of the following adverse effects should the
nurse monitor? - ✔✔✔ ANSWER-Respiratory paralysis
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the
following is the priority assessment finding that the nurse
should report to the provider? - ✔✔✔ ANSWER-Blood pressure 170/80 mm Hg
, A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going
into shock. Identify the sequence of actions the nurse
should take. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.) - ✔✔✔ ANSWER-Administer oxygen via a nonrebreather
mask.
Initiate IV therapy with a large-bore catheter.
Insert an NG tube.
Administer famotidine.
A nurse is caring for a client who has a positive culture for methicillin-resistant
Staphylococcus aureus (MRSA). Which of the following actions
should the nurse take? - ✔✔✔ ANSWER-Bathe the client using chlorhexidine solution.
A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon
assessing the client, the nurse observes the following
findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min.
Which of the following actions should the nurse take? - ✔✔✔ ANSWER-Perform
synchronized cardioversion.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect? - ✔✔✔ ANSWER-Low urine specific gravity
A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis.
The nurse should give the AP which of the following
instructions? - ✔✔✔ ANSWER-Wear a mask.
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical
therapy for which of the following clients? - ✔✔✔ ANSWER-A client who is receiving
preoperative teaching for a right knee arthroplasty.
A nurse is caring for a client in the emergency department (ED).
